| Item Number | Description | Schedule Fee |
|---|---|---|
| 49360 | Diagnostic arthroscopy of hip, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure of the hip joint by arthroscopic means (H) (Anaes.) (Assist.) |
$401.30 |
| Total: | $401.30 | |